| NPI | 1326580747 |
|---|---|
| Former Name | AMANDA GIBBS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041.372700) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ TRN203693) |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2016-11-16 |