| NPI | 1376771568 |
|---|---|
| Former Name | AMY KRISTEN MCINTYRE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MT 18885) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID MR-1055) |
| 207Q00000X Family Medicine (Licence: ID M-11147) | |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2015-01-09 |