| NPI | 1174353692 |
|---|---|
| Former Name | EMILY ROSE VONDENHUEVEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 081506-23) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: NH 081506-21) |
| Enumeration Date | 2024-08-07 |
| Last Update Date | 2024-10-17 |