NPI | 1871033092 |
---|---|
Former Name | EMILY ANN FELKNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA61129425) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 55360) |
Enumeration Date | 2017-03-07 |
Last Update Date | 2023-02-01 |