| NPI | 1134934128 |
|---|---|
| Former Name | AMANDA LEANN INNIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: KS 13-141506-061) |
| Enumeration Date | 2025-02-08 |
| Last Update Date | 2025-02-08 |