NPI | 1982932588 |
---|---|
Former Name | SARA LYNN RIZZO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA054686) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 013721) |
Enumeration Date | 2009-11-20 |
Last Update Date | 2016-12-28 |