NPI | 1992239024 |
---|---|
Former Name | AMANDA MARIE METZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 254411) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 254411) |
163W00000X Registered Nurse (Licence: OH 388104) | |
Enumeration Date | 2017-04-15 |
Last Update Date | 2024-11-11 |