| NPI | 1750769105 |
|---|---|
| Former Name | EMILY ROSE WOLFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 74921) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 60906) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2021-04-14 |