| NPI | 1477036192 |
|---|---|
| Former Name | AMANDA FREIDL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA sp019490) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP019490) |
| Enumeration Date | 2018-09-09 |
| Last Update Date | 2024-02-26 |