| NPI | 1295350361 |
|---|---|
| Former Name | AMBER ROSE KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NM 61153) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 27248) |
| Enumeration Date | 2020-06-14 |
| Last Update Date | 2023-01-30 |