| NPI | 1053692665 |
|---|---|
| Former Name | AMY L SNELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71003685A) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 28117066A) |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2021-01-14 |