| NPI | 1376793547 |
|---|---|
| Former Name | AMANDA BEATTIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NJ00749900) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP009295) |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2022-09-08 |