| NPI | 1720552359 |
|---|---|
| Former Name | PAIGE HEMPHILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IA 100215) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MO 2019003317) |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2020-09-22 |