NPI | 1992108237 |
---|---|
Former Name | SARAH JANE HARVEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA057232) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA003429) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MA057232) | |
Enumeration Date | 2014-10-01 |
Last Update Date | 2018-10-25 |