NPI | 1831757053 |
---|---|
Former Name | SARAH MARIE COLEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 3646) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: AR PT2019-027) |
Enumeration Date | 2019-06-03 |
Last Update Date | 2020-09-04 |