NPI | 1053070078 |
---|---|
Former Name | AMANDA TROWBRIDGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71012161A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28248419A) |
Enumeration Date | 2021-12-17 |
Last Update Date | 2022-10-15 |