NPI | 1891008652 |
---|---|
Former Name | EMILY C FEAUVE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-04419) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 014096) |
Enumeration Date | 2010-07-22 |
Last Update Date | 2017-02-17 |