| NPI | 1578233235 |
|---|---|
| Former Name | AMANDA L LUNDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 30220) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 30220) |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2025-02-19 |