| NPI | 1093191173 |
|---|---|
| Former Name | AMY JOHANDES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IL 209012328) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IL 209012328) |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2024-07-15 |