NPI | 1710124300 |
---|---|
Former Name | AMY LYNN FERMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TX AP117661) |
Enumeration Date | 2009-01-19 |
Last Update Date | 2021-12-16 |