NPI | 1548715238 |
---|---|
Former Name | EMMA R BOYER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 3746) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 083841) |
Enumeration Date | 2016-08-23 |
Last Update Date | 2020-12-18 |