NPI | 1598347601 |
---|---|
Former Name | EMILY ALBERTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704314564) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 925372579) |
Enumeration Date | 2021-04-27 |
Last Update Date | 2024-10-17 |