| NPI | 1154923555 |
|---|---|
| Former Name | AMANDA YETTA MOHAMED |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 345414) |
| Additional Taxonomies | 208D00000X General Practice (Licence: HI 3036) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F345414-01) | |
| 363LF0000X Nurse Practitioner, Family (Licence: HI 3036) | |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2024-09-18 |