| 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 |