| NPI | 1649575317 |
|---|---|
| Former Name | AMANDA JEAN CHADWICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 5375314122) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 53-75314) |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2023-11-02 |