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 | 363L00000X Nurse Practitioner (Licence: IN 71007586A) |
363LF0000X Nurse Practitioner Family (Licence: IN 71007586A) | |
Enumeration Date | 2017-10-27 |
Last Update Date | 2020-02-18 |