| NPI | 1063491231 |
|---|---|
| Former Name | AMANDA EILEEN MOHLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: ID M-12757) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MN 45799) |
| 208100000X Physical Medicine & Rehabilitation (Licence: NE 23709) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: IA 37126) | |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2014-12-15 |