| NPI | 1275537078 |
|---|---|
| Former Name | EMMA E.K. FORTNEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 13626R) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 13626R) |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2016-08-19 |