NPI | 1174020788 |
---|---|
Former Name | EMILY M BUETTNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 8561) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: IL 041439010) |
363LF0000X Nurse Practitioner, Family (Licence: IL 209017499) | |
Enumeration Date | 2018-04-10 |
Last Update Date | 2023-04-18 |