| NPI | 1295361533 |
|---|---|
| Former Name | AMANDA LEIGH RUYLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 277001660) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209020475) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209020475) | |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2021-11-04 |