NPI | 1770975468 |
---|---|
Former Name | AMY HAVASSY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0991727-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP014829) |
Enumeration Date | 2015-03-04 |
Last Update Date | 2017-03-08 |