NPI | 1174881205 |
---|---|
Former Name | EMMYLOU WOOLFITT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WV 77925) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024170044) |
Enumeration Date | 2012-04-26 |
Last Update Date | 2013-11-01 |