NPI | 1942528104 |
---|---|
Former Name | AMY FLETCHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9281600) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL arnp9281600) |
Enumeration Date | 2010-05-12 |
Last Update Date | 2022-10-27 |