| NPI | 1407682032 |
|---|---|
| Former Name | AMANDA LYNN KELLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: FL MW473) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: FL RN9381951) |
| Enumeration Date | 2024-09-10 |
| Last Update Date | 2024-09-10 |