| NPI | 1518802396 |
|---|---|
| Former Name | AMANDA GRACE BATES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2026-04-20 |
| Last Update Date | 2026-06-05 |