NPI | 1528458684 |
---|---|
Former Name | EMILY ENGEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA55183) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2015-01-28 |
Last Update Date | 2018-06-07 |