| NPI | 1750704797 |
|---|---|
| Former Name | AMANDA M ELLIOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209.011212) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.368295) |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2015-09-23 |