| NPI | 1649799040 |
|---|---|
| Former Name | EMMALEE BIDWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3011718) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3011718) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71007504A) | |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2024-07-01 |