| NPI | 1508582925 |
|---|---|
| Former Name | EMILY CLAIRE TERRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71013207A) |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2022-10-26 |