NPI | 1811495393 |
---|---|
Former Name | AMANDA L FREEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA NPF95023753) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NPF95023753) |
363LW0102X Nurse Practitioner, Women's Health (Licence: CA NPF95023753) | |
Enumeration Date | 2018-01-30 |
Last Update Date | 2023-11-06 |