| NPI | 1801194584 |
|---|---|
| Former Name | AMY LYNN LARREUR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5005092) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5005092) |
| Enumeration Date | 2011-03-04 |
| Last Update Date | 2018-11-16 |