| NPI | 1528150661 |
|---|---|
| Former Name | NICOLLE L AMOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A099623) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G166072) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2021-10-21 |