| NPI | 1336507326 |
|---|---|
| Former Name | AMANDA OLIVE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP60688962) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60572710) |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2016-09-30 |