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 |