| NPI | 1205312881 |
|---|---|
| Former Name | AMANDA HUTCHINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 7738) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 94804) |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2020-01-28 |