| NPI | 1902453327 |
|---|---|
| Former Name | EMILY LAUREN WATSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: TX 764810) |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2019-08-20 |