| NPI | 1568908416 |
|---|---|
| Former Name | AMANDA KATHLEEN SINISE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2016039167) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2016039167) |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2020-10-22 |