NPI | 1285944769 |
---|---|
Former Name | DARCIE ELLEN EMGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA1312) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR 153222) |
Enumeration Date | 2010-10-18 |
Last Update Date | 2023-05-19 |