| NPI | 1356231013 |
|---|---|
| Former Name | AMANDA L REAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ID 49195) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID 4271689) |
| Enumeration Date | 2025-07-05 |
| Last Update Date | 2025-10-08 |