NPI | 1164199907 |
---|---|
Former Name | EMILY N GRESS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71011490A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011490A) |
Enumeration Date | 2021-08-29 |
Last Update Date | 2023-12-21 |