NPI | 1629802376 |
---|---|
Former Name | EMILY K BOWLES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-128615) |
Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: AL 1-128615) |
Enumeration Date | 2024-08-27 |
Last Update Date | 2024-10-23 |