NPI | 1811470230 |
---|---|
Former Name | AMY RYAN DIGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0994138) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CO 1622164) |
Enumeration Date | 2018-09-11 |
Last Update Date | 2018-09-26 |