| NPI | 1851110399 |
|---|---|
| Former Name | EMILY ANN HIGGINBOTHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 5631) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2024-10-10 |
| Last Update Date | 2025-01-16 |