| NPI | 1780822676 |
|---|---|
| Former Name | SARA MARTELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60731140) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: SC TL1398) |
| 363AM0700X Physician Assistant, Medical (Licence: AK 1047) | |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2017-03-31 |