| NPI | 1659866044 |
|---|---|
| Former Name | ELIZABETH EMMERICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 4394) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WI 4394) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2021-08-04 |