| NPI | 1558921734 |
|---|---|
| Former Name | EMILY NICOLE WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0102208992) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 5151014074) |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2025-07-31 |