| NPI | 1437406329 |
|---|---|
| Former Name | EMILY KRISTEN PANHORST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 6621217-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 6621217-4405) |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2020-10-23 |