| NPI | 1417197690 |
|---|---|
| Former Name | AMANDA A TWAIT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IL 277001340) |
| Enumeration Date | 2009-02-27 |
| Last Update Date | 2025-07-16 |