| NPI | 1801046909 |
|---|---|
| Former Name | SARA CAMPBELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA053614) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA06222) |
| 363A00000X Physician Assistant (Licence: PA OA004770) | |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2019-09-12 |