| NPI | 1750027363 |
|---|---|
| Former Name | EMILY R VAN DEN BERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11006205) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11006205) |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2024-04-16 |