NPI | 1407375280 |
---|---|
Former Name | AMANDA LYN BURWOOD (ZIELINSKI) |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN280077) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN280077) |
Enumeration Date | 2017-09-13 |
Last Update Date | 2024-10-15 |