| NPI | 1154833226 |
|---|---|
| Former Name | AMANDA KAY WORSHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: CO C-APN.0001424-C-NP) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: TX AP135625) |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2020-10-05 |