| NPI | 1700309234 |
|---|---|
| Former Name | ELLEN LOUISE HEMMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209019307) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN270559) |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 9062) | |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2023-07-11 |