| NPI | 1053866921 |
|---|---|
| Former Name | AMY WETZEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71006471A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006471A) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2024-08-29 |