| NPI | 1346864105 |
|---|---|
| Former Name | AMANDA JO KEFFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP022136) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: PA RN657003) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: ID 71441) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 71441) | |
| Enumeration Date | 2020-06-07 |
| Last Update Date | 2024-11-27 |