| NPI | 1427739598 |
|---|---|
| Former Name | AMBER DOUGLAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WN1003X Registered Nurse, Nutrition Support (Licence: MT 132319) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: MT 132319) |
| 163WI0500X Registered Nurse, Infusion Therapy (Licence: MT 132319) | |
| 163WC1500X Registered Nurse, Community Health (Licence: MT 132319) | |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2023-07-31 |