| NPI | 1528503422 |
|---|---|
| Former Name | AMANDA NICOLE WILLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: VA 0024174339) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024174339) |
| Enumeration Date | 2016-12-31 |
| Last Update Date | 2023-11-28 |