| NPI | 1083842272 |
|---|---|
| Former Name | AMY C FOUTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID M11156) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA 60275737) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2014-01-15 |