| NPI | 1831421114 |
|---|---|
| Former Name | EMILY ANN BOGUMIL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 013781) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 13781) |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2023-07-07 |