| NPI | 1790467165 |
|---|---|
| Former Name | AMY PICKETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 79570) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM RN-79935) |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2024-06-18 |