| NPI | 1346078292 |
|---|---|
| Former Name | AMANDA MICHELLE BISCHOFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL APRN11033829) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL 11033829) |
| Enumeration Date | 2024-07-23 |
| Last Update Date | 2024-09-24 |