NPI | 1801434188 |
---|---|
Former Name | SARA CHRISTINE MCCLINTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NE 2821) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: KS 15-02304) |
Enumeration Date | 2019-12-17 |
Last Update Date | 2023-03-01 |