| NPI | 1528747516 |
|---|---|
| Former Name | AMANDA GRACE NOBLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: OK R0131790) |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2023-07-17 |