| NPI | 1871954552 |
|---|---|
| Former Name | AMANDA C MARSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 77164) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2016028880) |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2020-02-15 |