| NPI | 1922525278 |
|---|---|
| Former Name | EMMA RAE ELLIOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0993327-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1617871) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2019-02-11 |