| NPI | 1730656422 |
|---|---|
| Former Name | EMILY MCCOLLUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 903001) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 903001) |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2023-10-16 |