NPI | 1427335694 |
---|---|
Former Name | EMILY SUE COWAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2011-11-15 |
Last Update Date | 2024-04-11 |