NPI | 1073046330 |
---|---|
Former Name | AMANDA WILSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR DO222716) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0061848) |
208M00000X Hospitalist (Licence: OR DO222716) | |
208M00000X Hospitalist (Licence: CO DR.0061848) | |
Enumeration Date | 2017-04-04 |
Last Update Date | 2025-02-24 |