| NPI | 1033537683 |
|---|---|
| Former Name | AMANDA JO CARPENTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: VA 0101260303) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101260303) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2023-06-27 |