| NPI | 1528882081 |
|---|---|
| Former Name | AMELIA GROTHEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 063235-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 063235-21) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NH 063235-23) | |
| Enumeration Date | 2024-11-12 |
| Last Update Date | 2024-11-12 |