NPI | 1396230140 |
---|---|
Former Name | EMERI C TAIVALKOSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008224A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28216134A) |
Enumeration Date | 2018-06-25 |
Last Update Date | 2023-07-03 |