| NPI | 1356684880 |
|---|---|
| Former Name | AMANDA LEE SHOBER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 5436-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 141483-30) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2022-01-27 |