NPI | 1407336456 |
---|---|
Former Name | EMILY MARIE MIDDLETON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95009638) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: OR 201143302RN) |
163WC0200X Registered Nurse, Critical Care Medicine (Licence: CA 95060564) | |
Enumeration Date | 2018-08-20 |
Last Update Date | 2024-05-23 |