NPI | 1487785366 |
---|---|
Former Name | AMY B CHEATWOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0992020) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: ID CHIA-1313) |
363LF0000X Nurse Practitioner, Family (Licence: OK 0101849) | |
Enumeration Date | 2007-03-09 |
Last Update Date | 2023-12-26 |