| NPI | 1982570594 |
|---|---|
| Former Name | AMANDA FERNANDES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MA RN2312898) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MA RN2312898) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA RN2312898) | |
| Enumeration Date | 2025-10-13 |
| Last Update Date | 2025-10-13 |