| NPI | 1407453806 |
|---|---|
| Former Name | EMILY LOUIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA7822) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2021-03-08 |