NPI | 1669299178 |
---|---|
Former Name | AMANDA DANIELLE DUNACUSKY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: TX 802359) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TX 802359) |
Enumeration Date | 2024-09-25 |
Last Update Date | 2024-09-25 |