NPI | 1013404615 |
---|---|
Former Name | EMILY MCMAHON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: CO Unavailable) |
Enumeration Date | 2018-04-18 |
Last Update Date | 2023-09-28 |