NPI | 1215388681 |
---|---|
Former Name | AMANDA M DILS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: IN 71006336A) |
Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: IN 28185846A) |
Enumeration Date | 2016-06-28 |
Last Update Date | 2021-02-01 |