NPI | 1205378213 |
---|---|
Former Name | AMANDA BROOKE LAMBDIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 21999) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 21999) |
Enumeration Date | 2016-11-08 |
Last Update Date | 2019-03-04 |