| NPI | 1417611559 |
|---|---|
| Former Name | AMY COLLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ 263480) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RNP263480) |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2022-07-21 |