| NPI | 1629306451 |
|---|---|
| Former Name | AMANDA NICOLE EMBRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3006324) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1103759) |
| Enumeration Date | 2009-12-07 |
| Last Update Date | 2015-01-22 |