| NPI | 1124530670 |
|---|---|
| Former Name | AMANDA CARSON MCKINNEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP144247) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN APN23300) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN APN23300) | |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2022-11-04 |