| NPI | 1518902337 |
|---|---|
| Former Name | AMANDA COLLEEN THORNTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 543954) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: WA L-144145) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2022-10-30 |