| NPI | 1043636541 |
|---|---|
| Former Name | AMANDA KAY WADDELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3008575) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1139069) |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2016-03-22 |