| NPI | 1891794020 |
|---|---|
| Former Name | AMANDA MECHE KIMBLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: LA RN096204 AP04552) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2015-09-09 |