NPI | 1366455180 |
---|---|
Former Name | AMY E. WILCOX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ NJ00183000) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP008489) |
Enumeration Date | 2006-08-14 |
Last Update Date | 2016-04-25 |