| NPI | 1700200771 |
|---|---|
| Former Name | AMBER MARIE MINER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN18388) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN189477) |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2022-07-21 |