NPI | 1053953695 |
---|---|
Former Name | EMILY ANN GULICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IN 71010397A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28223894A) |
Enumeration Date | 2019-10-15 |
Last Update Date | 2020-12-03 |