| NPI | 1093000101 |
|---|---|
| Former Name | AMANDA C FRESCHAUF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA OP60560011) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL-4094) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2018-03-14 |