NPI | 1649539057 |
---|---|
Former Name | EMILIE S THORNHILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA PA200671) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 006441) |
Enumeration Date | 2012-05-07 |
Last Update Date | 2018-09-14 |