| NPI | 1568744829 |
|---|---|
| Former Name | EMILY K BLACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3007200) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 1102616) |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2024-04-16 |