NPI | 1336716372 |
---|---|
Former Name | AMANDA LEIGH ADAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202105310NP-PP) |
Enumeration Date | 2021-06-08 |
Last Update Date | 2021-06-08 |