| NPI | 1184190431 |
|---|---|
| Former Name | AMANDA VAN SICKLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2023-08-28 |