NPI | 1124309430 |
---|---|
Other Name | AMANDA BRADY WATTERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R214487) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R214487) | |
Enumeration Date | 2011-08-31 |
Last Update Date | 2022-01-25 |