| NPI | 1013415314 |
|---|---|
| Former Name | AMY ELIZABETH FREESE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5010255) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC F01171044) |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2021-08-07 |