| NPI | 1386137461 |
|---|---|
| Former Name | AMANDA BRITTANY CORLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP140239) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2023-11-16 |