| NPI | 1659133924 |
|---|---|
| Former Name | AMANDA KAY LENWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71015476A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28189264A) |
| Enumeration Date | 2024-01-23 |
| Last Update Date | 2024-08-08 |