NPI | 1992368468 |
---|---|
Former Name | SARAH B KEITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA7019) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
363A00000X Physician Assistant | |
Enumeration Date | 2019-04-19 |
Last Update Date | 2021-11-04 |