| NPI | 1598443921 |
|---|---|
| Former Name | AMANDA LEE HOOPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX 177432) |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2023-07-06 |