NPI | 1306952551 |
---|---|
Former Name | AMY TERREROS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: KS 53-75276-111) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 2010022940) |
Enumeration Date | 2006-08-21 |
Last Update Date | 2025-02-05 |