| NPI | 1225316433 |
|---|---|
| Former Name | AMANDA JEAN SKINNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND R32627) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2866) |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2020-11-09 |