NPI | 1174651913 |
---|---|
Former Name | AMBER EVON ALBRECHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95002563) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 698850) |
163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: CA 698850) | |
Enumeration Date | 2007-03-01 |
Last Update Date | 2021-11-03 |