NPI | 1497089403 |
---|---|
Former Name | AMBER K. REESE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3498) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN112226) |
Enumeration Date | 2009-09-23 |
Last Update Date | 2016-12-01 |