| NPI | 1194394908 |
|---|---|
| Former Name | AMANDA MACKENZIE MCGLONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: MO 202001453) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MO 202001453) |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2021-06-24 |