NPI | 1003072307 |
---|---|
Former Name | AMY LYNN MAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO 994381) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 16558893) |
Enumeration Date | 2008-08-06 |
Last Update Date | 2020-06-23 |