NPI | 1639679970 |
---|---|
Former Name | AMANDA FRANCIS WOLF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AR 230192) |
Additional Taxonomies | 176B00000X Midwife (Licence: MO 2018004097) |
Enumeration Date | 2018-02-13 |
Last Update Date | 2024-11-20 |