| NPI | 1851761381 |
|---|---|
| Former Name | EMILY ELISABETH WATKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.004933RX) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 52852) |
| Enumeration Date | 2015-09-26 |
| Last Update Date | 2017-01-25 |