| NPI | 1649622267 |
|---|---|
| Former Name | AMANDA ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN215365) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 93720) |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2023-03-07 |