| 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 |