| NPI | 1962181198 |
|---|---|
| Former Name | AMY LEIGH WEBB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN297944) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2023-07-14 |
| Last Update Date | 2023-08-01 |