NPI | 1295110229 |
---|---|
Former Name | AMY ELIZABETH WERNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2014027285) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2014027285) |
Enumeration Date | 2015-07-20 |
Last Update Date | 2022-09-15 |