| NPI | 1528356300 |
|---|---|
| Former Name | AMY JEANNE BOTTKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MN CNP4723) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX AP132938) |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2021-11-02 |