NPI | 1386387678 |
---|---|
Former Name | EMILY HAMBURGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085011128) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: KY TC050) |
Enumeration Date | 2022-04-15 |
Last Update Date | 2025-07-07 |