| NPI | 1013215060 |
|---|---|
| Former Name | EMILY SUZANNE TERRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 21459) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CA PA21459) |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2016-11-10 |