| NPI | 1164180394 |
|---|---|
| Former Name | AMY MICHELE MENSAKC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2278G1100X Respiratory Therapist, Certified, General Care (Licence: FL RT12470) |
| Additional Taxonomies | 2278E1000X Respiratory Therapist, Certified, Educational (Licence: FL RT12470) |
| Enumeration Date | 2021-12-05 |
| Last Update Date | 2021-12-05 |