| NPI | 1467701664 |
|---|---|
| Former Name | AMANDA IRIS VERCOE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ TEMP281408) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN172540) |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2023-07-10 |