NPI | 1992327951 |
---|---|
Former Name | EMILY FUHLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MO 2023027836) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085008557) |
Enumeration Date | 2020-05-13 |
Last Update Date | 2023-08-29 |