NPI | 1316720519 |
---|---|
Former Name | EMILY M BLOCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.028282) |
Additional Taxonomies | 163WG0100X Registered Nurse, Gastroenterology (Licence: IL 041.454739) |
Enumeration Date | 2023-08-14 |
Last Update Date | 2024-10-11 |