| NPI | 1194292011 |
|---|---|
| Former Name | AMANDA J CROWE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 201705950RN) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60967661) |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2020-09-02 |