| NPI | 1154341741 |
|---|---|
| Former Name | AMANDA E WEATHERBY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 08915) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN293365) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2021-01-11 |