NPI | 1942795950 |
---|---|
Former Name | AMBER NICOLE ORR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA rn217970) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A128853) |
Enumeration Date | 2018-06-22 |
Last Update Date | 2021-07-04 |