NPI | 1215412952 |
---|---|
Former Name | EMMA ELIZABETH HARMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-148437) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-148437) |
Enumeration Date | 2018-09-28 |
Last Update Date | 2023-06-29 |