NPI | 1528720463 |
---|---|
Former Name | EMILY DREES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: DE C5-0011768) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MS PA00586) |
Enumeration Date | 2021-10-07 |
Last Update Date | 2022-11-10 |