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