| NPI | 1972319242 |
|---|---|
| Former Name | SARAH CATHERINE BAUDENDISTEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TN 6387) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2024-12-10 |
| Last Update Date | 2025-02-20 |