NPI | 1245403443 |
---|---|
Former Name | PAULA SUE EMMONS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 78087) |
Additional Taxonomies | 163WR0006X Registered Nurse Registered Nurse First Assistant (Licence: KS 13-68540-072) |
Enumeration Date | 2008-04-08 |
Last Update Date | 2024-07-29 |