NPI | 1548894157 |
---|---|
Former Name | EMILY ROSE PULTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA TPA10007) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA61156441) |
Enumeration Date | 2020-02-24 |
Last Update Date | 2025-08-12 |