NPI | 1578741641 |
---|---|
Former Name | EMILY S WHETTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: MI 5601005439) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085003177) |
Enumeration Date | 2008-01-31 |
Last Update Date | 2014-10-10 |