| NPI | 1912351552 |
|---|---|
| Former Name | AMANDA BOHAC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101352) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 69545) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2016-05-17 |