NPI | 1609146067 |
---|---|
Former Name | EMILY SUZANNE RHEA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: SD CP000689) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: SD R040908) |
Enumeration Date | 2012-01-03 |
Last Update Date | 2013-05-29 |