| NPI | 1376016634 |
|---|---|
| Former Name | AMANDA N BISE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0033057) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71008766A) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: IN 28176681A) | |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2023-03-21 |