| NPI | 1497054464 |
|---|---|
| Former Name | JULIE ANN LISA EMMERICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 7843) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 135242-30) |
| 363L00000X Nurse Practitioner (Licence: WI 7843-33) | |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2019-05-01 |