| NPI | 1417465279 |
|---|---|
| Former Name | EMILY THERESE STOCKLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0994691-NP) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AK 128946) |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2022-04-25 |