| NPI | 1114569175 |
|---|---|
| Former Name | AMY A TABB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: IL 209020206) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209020206) |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2024-11-07 |