| NPI | 1144867698 |
|---|---|
| Former Name | AMANDA MARIE HUG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10033564) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 112986) |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2025-03-05 |