NPI | 1902074230 |
---|---|
Former Name | AMANDA ANNE PARROTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 17508) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 663978) |
225100000X Physical Therapist (Licence: CA 26981) | |
Enumeration Date | 2008-02-20 |
Last Update Date | 2008-02-20 |