NPI | 1962656090 |
---|---|
Former Name | AMY DENISE SNOW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5004142) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024180149) |
363L00000X Nurse Practitioner (Licence: NC 5004142) | |
363LF0000X Nurse Practitioner, Family (Licence: VA 0024180149) | |
Enumeration Date | 2008-11-17 |
Last Update Date | 2024-02-06 |