| NPI | 1609184043 |
|---|---|
| Former Name | AMANDA JEAN HORNUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ND R30715) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R176928-5) |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2012-04-20 |