| NPI | 1952708695 |
|---|---|
| Former Name | EMILY E. WYNNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA57548) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA09710) |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2019-11-25 |