| NPI | 1902487135 |
|---|---|
| Former Name | SARAH MARIE LOUD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00612000) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA062387) |
| 363A00000X Physician Assistant (Licence: CT 6120) | |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2023-09-15 |