| NPI | 1184303281 |
|---|---|
| Former Name | AMANDA JANE STANDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2023027341) |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2023-07-17 |