| NPI | 1316237126 |
|---|---|
| Former Name | AMY SANDERSON NIETUPSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 127750) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2025-09-22 |