| NPI | 1750878039 | 
|---|---|
| Former Name | AMBER NICHOLE USRY | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: KY 55824) | 
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 55824) | 
| Enumeration Date | 2018-04-22 | 
| Last Update Date | 2023-08-24 |