| NPI | 1013248699 |
|---|---|
| Former Name | AMANDA M BOEHMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 272626) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN187348) |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2023-12-13 |