NPI | 1669114518 |
---|---|
Former Name | AMANDA KENDREW-MASOTTO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0031166) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP025668) |
Enumeration Date | 2022-04-11 |
Last Update Date | 2025-05-05 |