| 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 | 2020-06-30 |