| NPI | 1861986440 |
|---|---|
| Former Name | AMY MICHELLE RILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9489470) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3012344) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2024-04-30 |