NPI | 1851728356 |
---|---|
Former Name | AMY MICHELE WHEELER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0990752-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 0990752) |
Enumeration Date | 2013-09-30 |
Last Update Date | 2018-10-18 |