| NPI | 1285140285 |
|---|---|
| Former Name | AMANDA D ELLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007729A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28160624A) |
| 363L00000X Nurse Practitioner (Licence: IN 71007729A) | |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2023-09-13 |