| NPI | 1336569243 |
|---|---|
| Other Name | AMANDA PACKERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 1040) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN F0114453) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2023-03-28 |