NPI | 1982091930 |
---|---|
Former Name | SARAH LOUISE MAJDIC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MT MED-PAC-LIC-36496) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0004131) |
Enumeration Date | 2015-04-16 |
Last Update Date | 2024-02-29 |