| NPI | 1073046330 |
|---|---|
| Former Name | AMANDA WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0061848) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0061848) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2021-06-14 |