NPI | 1477863769 |
---|---|
Former Name | AMY L BUUCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003509A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 2816244A) |
Enumeration Date | 2010-10-20 |
Last Update Date | 2024-11-12 |