NPI | 1902810047 |
---|---|
Former Name | AMY LYNN TOWNSEND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 3133102) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL 3133102) |
Enumeration Date | 2006-07-27 |
Last Update Date | 2015-01-16 |