NPI | 1427612712 |
---|---|
Former Name | EMILEY TOLSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209023826) |
Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX AP141343) |
Enumeration Date | 2019-04-23 |
Last Update Date | 2024-10-14 |