| NPI | 1396098562 |
|---|---|
| Former Name | EMILY RENEE CUSICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 22468) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1678229) |
| 363L00000X Nurse Practitioner (Licence: CA 599565) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO 0997112-NP) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO 0997112-NP) | |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2023-07-13 |