NPI | 1205243672 |
---|---|
Former Name | AMBER L THORNBURG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A154412) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5722) |
Enumeration Date | 2014-07-17 |
Last Update Date | 2022-09-22 |