| NPI | 1932720547 |
|---|---|
| Former Name | AMANDA WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP022326) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA RN613185) |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2022-07-25 |