| NPI | 1639695893 |
|---|---|
| Former Name | AMANDA NORTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY F341856-1) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 341856) |
| Enumeration Date | 2017-08-19 |
| Last Update Date | 2023-12-07 |