NPI | 1164170064 |
---|---|
Former Name | EMILY CAMPBELL HEUCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.007487RX) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OH 50.007487RX) |
Enumeration Date | 2022-03-10 |
Last Update Date | 2022-03-10 |