| NPI | 1194097311 |
|---|---|
| Former Name | EMILY ANN ROBERTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 3731-23) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SD 0800) |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2022-07-21 |