| NPI | 1386917888 |
|---|---|
| Former Name | AMY LYNN KOONTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NJ 26NJ15030900) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NY 308187) |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2024-08-14 |