NPI | 1992560783 |
---|---|
Former Name | SARAH SUTTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: VA 0110009881) |
Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0110009881) |
Enumeration Date | 2024-02-20 |
Last Update Date | 2024-05-02 |