| NPI | 1114633260 |
|---|---|
| Former Name | EMILY E THRAEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NE 114597) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IA C172672) |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2023-01-23 |