| NPI | 1659846426 |
|---|---|
| Former Name | AMANDA SHOTWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MI 4704294394) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704294394) |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2022-07-15 |