NPI | 1245963479 |
---|---|
Former Name | EMMA ALBERTINA ANDERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA64624) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA64624) |
Enumeration Date | 2022-07-06 |
Last Update Date | 2025-07-07 |