| NPI | 1982123204 |
|---|---|
| Former Name | EMILY BECKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0005137) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2018-10-15 |