| NPI | 1801440102 |
|---|---|
| Former Name | AMANDA RANGEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 4661671) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60987586) |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2024-11-02 |