| NPI | 1114996113 |
|---|---|
| Former Name | AMY JOANNE NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 30609) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 30609) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2021-01-11 |