| NPI | 1033592753 |
|---|---|
| Former Name | AMANDA INDREI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.024539) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704277745) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2020-12-09 |