| NPI | 1720817513 |
|---|---|
| Former Name | AMY WATTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: FL AL4571) |
| Enumeration Date | 2024-07-30 |
| Last Update Date | 2024-07-30 |