| NPI | 1417821414 |
|---|---|
| Former Name | EMILY JANE ISRAELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 13416) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2484239) |
| Enumeration Date | 2025-10-02 |
| Last Update Date | 2025-10-02 |