| NPI | 1417483488 |
|---|---|
| Former Name | AMBER NICOLE DAMRAU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 15922-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 158437-30) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2024-10-03 |