NPI | 1851849459 |
---|---|
Former Name | SARAH E KLINGEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA058484) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA058484) |
363AM0700X Physician Assistant, Medical | |
363AS0400X Physician Assistant, Surgical (Licence: PA MA058484) | |
363AS0400X Physician Assistant, Surgical | |
Enumeration Date | 2016-09-13 |
Last Update Date | 2021-10-28 |