| NPI | 1932530698 |
|---|---|
| Former Name | AMANDA MARTIN GAGNON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024171450) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 1) |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2024-09-04 |