| NPI | 1124798053 |
|---|---|
| Former Name | AMANDA HEBERLING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP022593) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN660162) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA MK7819088) | |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2025-09-15 |