NPI | 1902275977 |
---|---|
Former Name | SARA WALKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10001994A) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 020335) |
Enumeration Date | 2015-09-21 |
Last Update Date | 2022-10-07 |