| NPI | 1386211076 |
|---|---|
| Former Name | AMY P LARSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: CA 95017254) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: CA 95107155) |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2022-09-28 |