| NPI | 1891125662 |
|---|---|
| Former Name | EMMYLU ABBIE O'DONNELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IA 108148) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2021-08-17 |