NPI | 1558059451 |
---|---|
Former Name | AMANDA NICOLE HUNTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95025916) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 728360) |
Enumeration Date | 2023-04-27 |
Last Update Date | 2024-08-17 |