| NPI | 1023474012 |
|---|---|
| Former Name | AMANDA GILLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH APRN.CRNA.18613) |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2021-05-16 |