| NPI | 1053738849 |
|---|---|
| Former Name | MONICA ROSE EMANUEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9110238) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA09146) |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2019-02-21 |