| NPI | 1457636755 |
|---|---|
| Former Name | MILEA EMMONS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.006368rx) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CT 003566) |
| 363AS0400X Physician Assistant, Surgical (Licence: NY 015095) | |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2020-06-25 |