| NPI | 1164953386 |
|---|---|
| Former Name | EMILY FENIMORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 23057) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 182920) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-09-01 |