| NPI | 1063822062 |
|---|---|
| Former Name | AMANDA BRODEUR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: ND R37237) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: ND R37237) |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2018-12-04 |