NPI | 1902456783 |
---|---|
Former Name | AMANDA MARIE WHITING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: OR 201905837RN) |
Enumeration Date | 2019-09-13 |
Last Update Date | 2019-09-13 |