| NPI | 1881315364 |
|---|---|
| Former Name | AMANDA REISS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MD AC007676) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1063468) |
| Enumeration Date | 2022-09-05 |
| Last Update Date | 2025-09-08 |