NPI | 1689314890 |
---|---|
Former Name | AMANDA LEE CABE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN286240) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN286240) |
Enumeration Date | 2022-03-29 |
Last Update Date | 2024-02-07 |