| NPI | 1043670201 |
|---|---|
| Former Name | AMANDA DERBY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 635425) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 635425) |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2026-06-11 |