| NPI | 1447749437 |
|---|---|
| Former Name | AMIE WILLMUTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F347243) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A005408) |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2024-08-15 |