| NPI | 1316386915 |
|---|---|
| Former Name | AMY NICOLE CLOTHIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI LP02934) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AR E-12268) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2019-07-24 |