NPI | 1366798035 |
---|---|
Former Name | AMBER LUCEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 6621263-4405) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 66212634405) |
Enumeration Date | 2012-07-31 |
Last Update Date | 2022-03-15 |