NPI | 1023546843 |
---|---|
Former Name | AMANDA HANCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402158) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 551870) |
Enumeration Date | 2017-05-24 |
Last Update Date | 2024-08-14 |