| NPI | 1518112697 |
|---|---|
| Former Name | AMBERLY MICHELLE HASS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024170947) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R169933) |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2014-02-11 |