NPI | 1639599574 |
---|---|
Former Name | EMILY BROOK LEMMONS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2020010436) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R077810) |
Enumeration Date | 2014-04-18 |
Last Update Date | 2021-09-24 |