| NPI | 1275049876 |
|---|---|
| Former Name | AMANDA L MCGINNIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-016729) |
| Additional Taxonomies | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: IL 209.016729) |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2024-04-29 |