| NPI | 1316770860 |
|---|---|
| Former Name | EMILY ROSE OLDAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP241460) |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2024-08-21 |