NPI | 1043592777 |
---|---|
Former Name | EMILY LOUISE DANNISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601006851) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2011-09-20 |
Last Update Date | 2021-12-27 |