| NPI | 1346662178 |
|---|---|
| Former Name | AMANDA LEAH WHITEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 18265) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN18265) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TN APN18265) | |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2022-03-17 |