| NPI | 1093181463 |
|---|---|
| Former Name | EMILY MARION WOODWARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 208800000X Urology (Licence: PA MA057964) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2023-11-17 |