| NPI | 1548786536 |
|---|---|
| Former Name | AMBER LYNN HIBBEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 197927) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 197927) |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2022-07-21 |