| NPI | 1306256649 |
|---|---|
| Former Name | AMBER NICHOLE HULL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 5101021071) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 5101021071) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2017-05-29 |