NPI | 1891457180 |
---|---|
Other Name | AMBER LEE PROFFITT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11016239) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL 9477928) |
Enumeration Date | 2021-10-13 |
Last Update Date | 2023-04-12 |