| NPI | 1801595764 |
|---|---|
| Other Name | AMANDA DENISE POLMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000035799) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN RN0000195881) |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2024-09-18 |