NPI | 1992436141 |
---|---|
Former Name | SARAH ELIZABETH RICE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA OA006156) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA063532) |
Enumeration Date | 2022-06-20 |
Last Update Date | 2022-08-01 |