| NPI | 1104312875 |
|---|---|
| Former Name | AMANDA LEIGH ORTIZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2313229) |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2023-03-10 |