NPI | 1326708421 |
---|---|
Former Name | AMANDA L KNIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61258993) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA F12210889) |
Enumeration Date | 2021-12-30 |
Last Update Date | 2022-03-04 |