NPI | 1487056842 |
---|---|
Former Name | EMILY PADGETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9112117) |
Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: FL nd6061) |
363A00000X Physician Assistant (Licence: TX PA14548) | |
Enumeration Date | 2014-09-17 |
Last Update Date | 2022-12-02 |