NPI | 1003469917 |
---|---|
Former Name | AMANDA CAROL TROGDON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 6372) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 262156) |
Enumeration Date | 2019-07-19 |
Last Update Date | 2025-01-24 |