| NPI | 1801306832 |
|---|---|
| Former Name | AMIE LYNN LAMANTIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 087304-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 087304-21) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0993724-NP) | |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2022-07-25 |