| NPI | 1871031823 |
|---|---|
| Former Name | AMY MARIE FRIEDEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2016039171) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.15420) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2018-03-17 |