| NPI | 1285056531 |
|---|---|
| Former Name | AMANDA JOY SIEKBERT / RUTTLE/GOODMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9283404) |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2023-08-23 |