| NPI | 1588102479 |
|---|---|
| Former Name | EMILY READ MANSFIELD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TN 3189) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 008268) |
| 363AM0700X Physician Assistant, Medical (Licence: TN 3189) | |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2019-01-17 |