| NPI | 1780026112 |
|---|---|
| Former Name | AMANDA L. LEVESQUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA AP07353) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA RN124683) |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2015-03-02 |