| NPI | 1336031244 |
|---|---|
| Former Name | AMANDA NICOLE REUIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: GA 220750) |
| Enumeration Date | 2025-07-16 |
| Last Update Date | 2025-07-16 |