NPI | 1013944115 |
---|---|
Former Name | AMANDA HENCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LH-0000174) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0032088) |
363L00000X Nurse Practitioner (Licence: PA SP020110) | |
Enumeration Date | 2006-06-26 |
Last Update Date | 2019-09-12 |