NPI | 1457622664 |
---|---|
Former Name | EMILY SEHEE LADUKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA055342) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA055342) |
363A00000X Physician Assistant (Licence: NY '015381) | |
Enumeration Date | 2012-01-19 |
Last Update Date | 2017-12-27 |