| NPI | 1194279315 |
|---|---|
| Former Name | EMILY G RUSSELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1017347) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 770759) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2022-07-21 |