NPI | 1154742047 |
---|---|
Former Name | AMANDA REAMES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 9373450) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MD 231893) |
363LW0102X Nurse Practitioner, Women's Health (Licence: DC 1047310) | |
Enumeration Date | 2013-12-19 |
Last Update Date | 2020-11-10 |