| NPI | 1508007378 |
|---|---|
| Former Name | AMY CHRISTINE ERICKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 6073) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MN R-142668-3) |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2023-05-09 |