NPI | 1972084796 |
---|---|
Former Name | SARAH ELIZABETH ASATURIAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MO 2019020814) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085.006731) |
Enumeration Date | 2018-08-29 |
Last Update Date | 2023-04-17 |