| NPI | 1821563222 |
|---|---|
| Former Name | SAVANNAH SCHOOSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085008118) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA17266) |
| 363A00000X Physician Assistant (Licence: NY 029477) | |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2024-11-21 |