| NPI | 1881809549 |
|---|---|
| Former Name | SARA ASHLEY MCCOWEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MN 65017) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0101244146) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-05-20 |