NPI | 1700422771 |
---|---|
Former Name | EMILY E BURESH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 9764) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 185722) |
363L00000X Nurse Practitioner (Licence: WI 9764) | |
Enumeration Date | 2019-11-25 |
Last Update Date | 2025-09-05 |