| NPI | 1265990303 |
|---|---|
| Former Name | AMANDA J GUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101534) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 77853) |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2019-05-21 |