| NPI | 1962774992 |
|---|---|
| Former Name | SARAH H PEERENBOOM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 3663-23) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085003140) |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2021-09-21 |