| NPI | 1538716063 |
|---|---|
| Former Name | EMILY ROSE KUESER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 5308) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC 3332) |
| 363A00000X Physician Assistant | |
| 363AS0400X Physician Assistant, Surgical (Licence: SC 1160863) | |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2023-03-01 |