| NPI | 1801346960 | 
|---|---|
| Former Name | AMANDA PRICE | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: VA 4630) | 
| Enumeration Date | 2016-10-12 | 
| Last Update Date | 2016-10-12 |