NPI | 1174000178 |
---|---|
Former Name | EMILY K ROUTH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71015295A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61046894) |
Enumeration Date | 2018-07-23 |
Last Update Date | 2024-06-12 |