NPI | 1992539621 |
---|---|
Former Name | EMILY ANN FIELDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA3528) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10004564A) |
Enumeration Date | 2024-08-27 |
Last Update Date | 2025-08-21 |