NPI | 1134970452 |
---|---|
Former Name | AMANDA GRACE MCCONNELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: IN 28232365A) |
Enumeration Date | 2024-03-27 |
Last Update Date | 2024-03-27 |