| NPI | 1023279270 |
|---|---|
| Former Name | AMBER LARINNE PENA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP7517) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9251112) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP7518) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP9251112) | |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2022-07-21 |