| NPI | 1427783059 |
|---|---|
| Former Name | AMANDA LEE HERRMANN |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71013844A) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 28212026A) |
| Enumeration Date | 2022-07-18 |
| Last Update Date | 2025-02-14 |