| NPI | 1801302245 |
|---|---|
| Former Name | AMANDA BANCROFT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2024-01-10 |