| NPI | 1356818835 |
|---|---|
| Former Name | EMILEE RUTHERFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00635200) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA060296) |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2023-07-11 |