| NPI | 1588194427 |
|---|---|
| Former Name | AMANDA AGEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 2017013760) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MO 2017013760) |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2024-04-18 |