| NPI | 1922638279 |
|---|---|
| Former Name | EMILY VIOLET BLOCKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 10508) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN 10508) |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2025-01-27 |