NPI | 1043751654 |
---|---|
Former Name | EMILY LYNN VALLONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: SC 25539) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F307897) |
Enumeration Date | 2017-03-15 |
Last Update Date | 2021-12-29 |