NPI | 1962920363 |
---|---|
Former Name | EMILEE BERTOLDI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1114065) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1114065) |
Enumeration Date | 2017-09-06 |
Last Update Date | 2025-06-18 |