| NPI | 1295273001 |
|---|---|
| Former Name | AMANDA M KLEM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN CNP 4987) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN CNP4987) |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2024-02-15 |