NPI | 1598241887 |
---|---|
Former Name | EMILY MADEIRA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP019056) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA RN661424) |
Enumeration Date | 2018-07-19 |
Last Update Date | 2022-08-18 |