| NPI | 1891294195 |
|---|---|
| Professional Name | AMANDA LYNN MUNDINGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209016873) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IL 209016873) |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2020-08-31 |