| NPI | 1043765720 |
|---|---|
| Former Name | AMANDA CARTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN23215) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN232150) |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2019-08-16 |