NPI | 1790937613 |
---|---|
Former Name | SARAH CHRISTINE FLEISCHMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: OR PA165017) |
Additional Taxonomies | 363AS0400X Physician Assistant Surgical (Licence: TX PA05213) |
Enumeration Date | 2008-10-22 |
Last Update Date | 2014-01-30 |