| NPI | 1598437485 |
|---|---|
| Former Name | EMMA ALYSE RUTHERFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9115091) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9115091) |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2024-07-11 |