NPI | 1003336116 |
---|---|
Former Name | ANNA JULIETTE EMORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP018268) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN626856) |
Enumeration Date | 2017-06-21 |
Last Update Date | 2021-03-12 |