| NPI | 1548632623 |
|---|---|
| Former Name | EMILY RUSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0000X (Licence: AZ AP8250) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ TAP8250) |
| 208VP0000X (Licence: UT 13880105-4405) | |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2025-09-30 |