| NPI | 1720595937 |
|---|---|
| Former Name | AMANDA NICOLE BEHL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9361286) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1647625) |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-01-09 |