NPI | 1679132591 |
---|---|
Former Name | AMY MAE ZOSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: IA H155101) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 136771) |
363L00000X Nurse Practitioner (Licence: IA H155101) | |
363LF0000X Nurse Practitioner, Family (Licence: IA H155101) | |
Enumeration Date | 2019-06-13 |
Last Update Date | 2023-11-24 |