| NPI | 1215703137 |
|---|---|
| Former Name | AMY S KIESNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: WI 191438-30) |
| Enumeration Date | 2023-12-01 |
| Last Update Date | 2023-12-01 |