| NPI | 1790097111 |
|---|---|
| Former Name | AMBER HURT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: KY 43669) |
| Additional Taxonomies | 208600000X Surgery (Licence: KY TP228) |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2019-05-10 |