| NPI | 1881297463 |
|---|---|
| Former Name | AMANDA KAY ECCLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1019853) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1019853) |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2024-09-16 |