NPI | 1104224575 |
---|---|
Former Name | AMBER K HUMPHRIES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 6246-33) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 142007-30) |
363LN0000X Nurse Practitioner, Neonatal (Licence: WI 6246-33) | |
363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: WI 6246-33) | |
Enumeration Date | 2014-12-16 |
Last Update Date | 2025-04-01 |