| NPI | 1699138933 |
|---|---|
| Former Name | AMY LYNN COLLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.19019) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV 822696) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2024-03-07 |