NPI | 1558958587 |
---|---|
Former Name | EMILY MAITLAND STOCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA062014) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2020-12-23 |
Last Update Date | 2023-08-21 |