| NPI | 1518564632 |
|---|---|
| Former Name | AMANDA ELAINE DEAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MI 4704308597) |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2023-06-23 |