| NPI | 1891392999 |
|---|---|
| Former Name | EMMA JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WY PA1302) |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2025-03-06 |