NPI | 1972070548 |
---|---|
Former Name | EMILY GARRETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 25061) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 903006) |
Enumeration Date | 2018-10-31 |
Last Update Date | 2024-07-24 |