| NPI | 1962808949 |
|---|---|
| Former Name | EMILIE S. FAGIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WV 106888) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 1638693) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP014335) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CO 992330) | |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2023-03-07 |