| NPI | 1689445157 |
|---|---|
| Former Name | AMANDA GRAVES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.447859) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 0037283) |
| Enumeration Date | 2024-01-12 |
| Last Update Date | 2025-04-16 |