| NPI | 1306943931 |
|---|---|
| Former Name | AMANDA PENDLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KY 3003330) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2016-10-10 |