| NPI | 1134724305 |
|---|---|
| Former Name | AMANDA DARST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209021955) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28263521A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71010972A) | |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2022-11-03 |