NPI | 1407263882 |
---|---|
Former Name | EMILY A MUSTARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 431706) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH RN349319) |
363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1159960) | |
Enumeration Date | 2014-07-17 |
Last Update Date | 2021-06-11 |