NPI | 1720359565 |
---|---|
Former Name | EMILY ROSE PESHAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: AZ AP4411) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ AP4411) |
363LW0102X Nurse Practitioner, Women's Health (Licence: AZ AP4355) | |
Enumeration Date | 2012-01-25 |
Last Update Date | 2020-12-16 |