| NPI | 1558792184 |
|---|---|
| Former Name | EMILY WHITEHEAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 2052) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2013-12-08 |
| Last Update Date | 2016-11-04 |