NPI | 1326534504 |
---|---|
Former Name | AMANDA KIRBY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA 240150) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: GA GA240150) |
363L00000X Nurse Practitioner (Licence: NV 812293) | |
363LF0000X Nurse Practitioner, Family (Licence: FL APRN11007132) | |
Enumeration Date | 2018-07-10 |
Last Update Date | 2023-06-15 |