NPI | 1972123958 |
---|---|
Former Name | SARAH K KEPPLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IA 112230) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA13589) |
363AM0700X Physician Assistant, Medical (Licence: IA 112230) | |
363AS0400X Physician Assistant, Surgical (Licence: IA 112230) | |
Enumeration Date | 2020-04-20 |
Last Update Date | 2022-07-15 |