| NPI | 1114731684 |
|---|---|
| Former Name | EMILY MAE COSTEA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA066408) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2025-02-05 |
| Last Update Date | 2025-04-15 |