NPI | 1962840165 |
---|---|
Former Name | SARA LINDSEY STRUVE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MO 2025012348) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 6614) |
Enumeration Date | 2013-06-10 |
Last Update Date | 2025-06-02 |