| NPI | 1831465459 |
|---|---|
| Former Name | AMANDA EILEEN WYATT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D119983) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2018-11-15 |