| NPI | 1992232458 |
|---|---|
| Former Name | SARAH JOHANNA LANGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 20901) |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2023-06-29 |