| NPI | 1518526565 |
|---|---|
| Former Name | EMILY KATHERINE DEPUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 3242) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2023-01-27 |