| NPI | 1821188269 |
|---|---|
| Former Name | LETY ELIZABETH AMAYA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME158393) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA17517) |
| 363A00000X Physician Assistant (Licence: NE 680) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NE 110879) | |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2022-08-15 |