| NPI | 1649748880 |
|---|---|
| Former Name | AMANDA COOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN9337772) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: FL APRN9337772) |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2024-08-26 |