NPI | 1881097368 |
---|---|
Former Name | AMANDA DAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP126504) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX AP126504) |
Enumeration Date | 2014-09-29 |
Last Update Date | 2021-03-04 |