| NPI | 1134663453 |
|---|---|
| Former Name | EMILY ANNE WASIL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9117327) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 53990) |
| 363A00000X Physician Assistant (Licence: FL PA9117327) | |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2023-08-08 |