| NPI | 1740752773 |
|---|---|
| Former Name | AMANDA LEIGH GAJDOSIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP140481) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 834801) |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2021-01-20 |