NPI | 1083398481 |
---|---|
Former Name | AMY CAROLINE AZBELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0033974) |
Enumeration Date | 2023-06-14 |
Last Update Date | 2023-06-14 |