| NPI | 1891974077 |
|---|---|
| Former Name | SALLY A.H. HASTINGS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CT 002008) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 002008) |
| 363A00000X Physician Assistant (Licence: MA AP2421) | |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2022-11-07 |