| NPI | 1487918876 |
|---|---|
| Former Name | EMILY DAWN DURRETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: KY PA1728) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: KY PA1728) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2015-08-28 |