| NPI | 1124709522 |
|---|---|
| Former Name | AMANDA MARIE DEETER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO C-APN.0101045-C-CRNA) |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2025-09-18 |