NPI | 1245707470 |
---|---|
Former Name | EMMA CLAIRE ZIMOMRA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 24646) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 24646) |
363LA2100X Nurse Practitioner, Acute Care (Licence: TN 24646) | |
Enumeration Date | 2018-10-25 |
Last Update Date | 2022-03-31 |