| NPI | 1275726754 |
|---|---|
| Former Name | AMANDA CHRISTINE WASHBURN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 3140) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: SC 3140) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2015-02-02 |