| NPI | 1780076422 |
|---|---|
| Former Name | AMY MICHELLE BRUCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC DO37654) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 21417) |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2018-11-29 |