| NPI | 1689223869 |
|---|---|
| Former Name | AMY ROSEMARIE KENNING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2019026965) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2019026965) |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2024-09-13 |