| NPI | 1073936761 |
|---|---|
| Former Name | AMANDA KIMBERLY O'MALLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172129) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024172129) |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2024-01-17 |