NPI | 1225384639 |
---|---|
Former Name | EMILY MARQUEEN MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 015758) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NY 015758) |
Enumeration Date | 2012-08-03 |
Last Update Date | 2023-03-07 |