| NPI | 1790481562 | 
|---|---|
| Former Name | SARAH OSBORNE | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10004043A)  | 
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10004043B)  | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-02-03 | 
| Last Update Date | 2023-08-23 |