| NPI | 1508476763 |
|---|---|
| Former Name | ERMA MAGNUSSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024178032) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024178032) |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2023-06-13 |