NPI | 1467935908 |
---|---|
Former Name | AMBER MICHELLE SUTFIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008582A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28157878A) |
Enumeration Date | 2018-09-11 |
Last Update Date | 2022-05-10 |