| NPI | 1780851220 |
|---|---|
| Former Name | AMANDA JEAN STOREY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 15796) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA 017845) |
| 207Q00000X Family Medicine (Licence: VT 042-0012824) | |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: VT 042.0012824) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2025-07-21 |