NPI | 1063129708 |
---|---|
Former Name | EMILY ANN DAHL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 9787) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 2503961) |
Enumeration Date | 2022-11-02 |
Last Update Date | 2022-12-12 |