NPI | 1063763332 |
---|---|
Former Name | AMY G FOUST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0994963-NP) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71004157A) |
363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71004157A) | |
Enumeration Date | 2012-09-27 |
Last Update Date | 2021-03-22 |