| NPI | 1528799798 |
|---|---|
| Former Name | EMILY CAROLYN BOREN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2022021664) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2022013140) |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2022-08-05 |