NPI | 1851064471 |
---|---|
Former Name | AMANDA BARLOW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 432100) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NY 719844) |
363LA2100X Nurse Practitioner, Acute Care (Licence: CT 009979) | |
Enumeration Date | 2021-07-29 |
Last Update Date | 2023-07-24 |