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 |