NPI | 1104224575 |
---|---|
Former Name | AMBER K HUMPHRIES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: WI 6246-33) |
Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: WI 6246-33) |
163W00000X Registered Nurse (Licence: WI 142007-30) | |
Enumeration Date | 2014-12-16 |
Last Update Date | 2024-04-12 |