NPI | 1528175049 |
---|---|
Former Name | AMY JO KRIDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA TP006399B) |
Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: PA TP006399B) |
Enumeration Date | 2006-08-23 |
Last Update Date | 2015-04-13 |