NPI | 1558918573 |
---|---|
Former Name | EMILY ARMSTEAD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601013030) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: WA PA61077655) |
Enumeration Date | 2019-08-23 |
Last Update Date | 2025-08-19 |