| NPI | 1972089092 |
|---|---|
| Former Name | SARAH EILEEN BETHEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 001010049) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110006267) |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2020-07-30 |