NPI | 1649601477 |
---|---|
Former Name | AMY KATHLEEN INCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MI 4704154413) |
Additional Taxonomies | 364SN0000X Clinical Nurse Specialist, Neonatal (Licence: MI 4704154413) |
363L00000X Nurse Practitioner (Licence: MI 4704154413) | |
Enumeration Date | 2013-12-04 |
Last Update Date | 2016-12-06 |