| NPI | 1801210851 |
|---|---|
| Former Name | AMANDA NADOB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 5675) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 5675-33) |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2023-03-07 |