| NPI | 1831697515 |
|---|---|
| Former Name | EMILY K HEINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9112359) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MS PA00362) |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2023-05-10 |