NPI | 1164134136 |
---|---|
Former Name | EMILY MARIE GUERRERO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2022-12-21 |
Last Update Date | 2023-07-06 |