| NPI | 1689954034 |
|---|---|
| Former Name | EMILY D RUSSELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 007385) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 332301) |
| 363L00000X Nurse Practitioner (Licence: CT 007385) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 336800) | |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2022-03-14 |