| NPI | 1992317507 |
|---|---|
| Former Name | AMANDA AULD ALDRICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201911320NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 201900132NP-PP) |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2025-03-06 |