| NPI | 1114470986 |
|---|---|
| Former Name | AMANDA ANN DACEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.019483) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.019483) |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2023-11-27 |