NPI | 1043525652 |
---|---|
Former Name | EMILY JOY LANE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61105809) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.349120) |
163W00000X Registered Nurse (Licence: CA 95021864) | |
363LF0000X Nurse Practitioner, Family (Licence: OH COA.11840-NP) | |
363LF0000X Nurse Practitioner, Family (Licence: CA 95000144) | |
Enumeration Date | 2010-08-09 |
Last Update Date | 2021-01-04 |