NPI | 1508104886 |
---|---|
Former Name | EMY LOUISE MCCLENDON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP125614) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 644302) |
163W00000X Registered Nurse (Licence: TX 852068) | |
363LA2100X Nurse Practitioner, Acute Care (Licence: NY F430714) | |
Enumeration Date | 2013-01-22 |
Last Update Date | 2023-07-18 |