| NPI | 1114218096 |
|---|---|
| Former Name | AMY KUNTZ ROBERTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MT MED-PHYSCOMLIC128116) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MT Med-Res-59392) |
| 207Q00000X Family Medicine (Licence: WI 63818) | |
| 207Q00000X Family Medicine (Licence: ND PT13741) | |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2024-07-08 |