| NPI | 1760021026 |
|---|---|
| Former Name | AMANDA KATHERINE ALVAREZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95012997) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11000733) |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2023-05-11 |