| NPI | 1346871506 |
|---|---|
| Former Name | AMANDA LYNN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP022257) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 153511) |
| 163W00000X Registered Nurse (Licence: PA RN725614) | |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2024-08-01 |