| NPI | 1477321370 |
|---|---|
| Former Name | AMANDA CATHERINE NOHAVEC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246Z00000X Specialist/Technologist, Other (Licence: NY 515035111) |
| Enumeration Date | 2023-12-20 |
| Last Update Date | 2023-12-20 |