NPI | 1619211893 |
---|---|
Former Name | AMANDA FAYE GETTIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 256313) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5005929) |
363LF0000X Nurse Practitioner, Family (Licence: NC 5005929) | |
Enumeration Date | 2012-11-12 |
Last Update Date | 2016-05-19 |