| NPI | 1245613025 |
|---|---|
| Former Name | AMY ESTELLA COLLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 19009) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 158750) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2022-03-14 |