| NPI | 1801631585 |
|---|---|
| Former Name | AMANDA GAYLE LANDERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 4024556) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2024-07-16 |