NPI | 1679977391 |
---|---|
Former Name | EMILY FRANCES BECKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-07412) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085.005271) |
Enumeration Date | 2014-10-09 |
Last Update Date | 2022-07-21 |