NPI | 1073833455 |
---|---|
Former Name | AMANDA BETH BARNHORST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2014-02214) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101251712) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116022618) | |
Enumeration Date | 2010-06-08 |
Last Update Date | 2016-05-05 |