NPI | 1124451414 |
---|---|
Former Name | AMANDA A JOYCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 7219-33) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 194211-30) |
Enumeration Date | 2013-08-09 |
Last Update Date | 2017-02-28 |