NPI | 1316135007 |
---|---|
Former Name | EMILY FITZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60478563) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR PA10275) |
Enumeration Date | 2007-10-09 |
Last Update Date | 2014-10-14 |