NPI | 1275954109 |
---|---|
Former Name | AMANDA PFIRRMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.026059) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: OH 393818) |
Enumeration Date | 2013-12-19 |
Last Update Date | 2020-02-10 |