| NPI | 1790220143 |
|---|---|
| Former Name | AMANDA RICHARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A0053338) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 118856) |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2023-05-09 |