| NPI | 1356378210 |
|---|---|
| Former Name | AMY SUE VANLANDSCHOOT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704217094) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704217094) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2021-02-08 |