NPI | 1184096505 |
---|---|
Former Name | AMANDA HJORTH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 875836) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95050437) |
163WG0000X Registered Nurse, General Practice (Licence: NV RN90612) | |
Enumeration Date | 2015-10-25 |
Last Update Date | 2024-06-03 |