| NPI | 1932645884 |
|---|---|
| Former Name | EMMA LOVE GILMARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TN 3653) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 3653) |
| 363A00000X Physician Assistant (Licence: NM PA2017-0001) | |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2019-02-13 |