| NPI | 1962852723 |
|---|---|
| Former Name | EMILY ST. CLAIR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201806836NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0992366-NP) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2018-11-07 |