| NPI | 1205168770 |
|---|---|
| Former Name | MICHELE EMORY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 011008237) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085.007232) |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2023-05-11 |