NPI | 1699357640 |
---|---|
Former Name | AMANDA BRITT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 312420) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ 312420) |
Enumeration Date | 2021-04-28 |
Last Update Date | 2024-08-05 |