NPI | 1801955984 |
---|---|
Former Name | AMY ELIZABETH KUCHINSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 00502025) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 005002025) |
Enumeration Date | 2006-12-06 |
Last Update Date | 2020-04-08 |