NPI | 1710558630 |
---|---|
Former Name | EMILY GERRITS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 762335) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 225906) |
163WM0705X Registered Nurse, Medical-Surgical (Licence: WI 548887) | |
Enumeration Date | 2021-07-02 |
Last Update Date | 2024-06-14 |