| NPI | 1346678026 |
|---|---|
| Former Name | AMANDA WETZEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP 9415070) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP013276) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2022-07-21 |