| NPI | 1003380098 |
|---|---|
| Former Name | EMILY LAUREN VOYNOVICH NORDSTROM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NC 08742) |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2025-06-09 |