| NPI | 1821342536 |
|---|---|
| Former Name | AMY KATHLEEN EVANS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5012116) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 17134) |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2025-02-03 |