NPI | 1356837025 |
---|---|
Former Name | AMY SPAINHOWER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC F06182133) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 10121) |
Enumeration Date | 2018-07-06 |
Last Update Date | 2024-02-20 |