| NPI | 1114439312 |
|---|---|
| Former Name | AMY MUTZNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3011760) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007586A) |
| 363L00000X Nurse Practitioner (Licence: IN 71007586A) | |
| Enumeration Date | 2017-10-27 |
| Last Update Date | 2025-11-13 |