NPI | 1760770697 |
---|---|
Former Name | EMILY GRACE FORSCHLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA055472) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 030288) |
Enumeration Date | 2011-07-12 |
Last Update Date | 2023-07-27 |