| NPI | 1932847860 |
|---|---|
| Former Name | AMANDA JOY BRASETH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: ND R41305) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ND R41305) |
| Enumeration Date | 2022-05-20 |
| Last Update Date | 2022-07-20 |