NPI | 1952754004 |
---|---|
Former Name | EMILY SADOWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 2586) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC TL2586) |
Enumeration Date | 2016-07-13 |
Last Update Date | 2023-04-18 |