NPI | 1376338319 |
---|---|
Former Name | KIMBERLY M AMSTUTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0032291) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 370835) |
Enumeration Date | 2025-04-10 |
Last Update Date | 2025-04-10 |