| NPI | 1962630327 |
|---|---|
| Former Name | AMANDA LEIGH DOAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3006025) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN.350273) |
| 363L00000X Nurse Practitioner (Licence: IN 71002860A) | |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2021-07-16 |