| NPI | 1922191766 |
|---|---|
| Former Name | SARAH ANN MCKENNA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KS 15-01097) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: KS 15-01097) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2023-07-31 |