| NPI | 1003871047 |
|---|---|
| Former Name | AMANDA M. QUEEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OH 35-083163) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-083163) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2020-10-21 |