| NPI | 1699412247 |
|---|---|
| Former Name | AMBER JORDAN UPTAIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-157491) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL F01220239) |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2023-05-24 |