| NPI | 1568414027 |
|---|---|
| Former Name | AMANDA LYNNE MIETTINEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704269636) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024166853) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2019-12-10 |