| NPI | 1245648963 |
|---|---|
| Former Name | JAMIE EMERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085005163) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 074483) |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2014-09-04 |