| NPI | 1558985036 |
|---|---|
| Former Name | AMANDA KYLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5020152) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ 241738) |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2024-07-08 |