NPI | 1487903936 |
---|---|
Former Name | AMY M. GASKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS F0712103) |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: MS 879057) |
Enumeration Date | 2012-08-30 |
Last Update Date | 2025-02-20 |