| NPI | 1235261595 |
|---|---|
| Former Name | AMANDA RENA WITHERSPOON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9216040) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN149514) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 4386) | |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2022-07-21 |