| NPI | 1639787104 |
|---|---|
| Former Name | EMILY THEREAS POWERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 5243) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2022-08-01 |