NPI | 1174052724 |
---|---|
Former Name | AMY MCNAUGHTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP09318) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA CNP-APO9318) |
Enumeration Date | 2017-06-07 |
Last Update Date | 2025-07-23 |