| NPI | 1841828159 |
|---|---|
| Former Name | AMY NICOLE JAMES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 69591) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 30943) |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2024-01-22 |