| NPI | 1427742220 |
|---|---|
| Former Name | AMANDA RACHEL PAULSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704313426) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: MI 4704313426) |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2024-06-06 |