| NPI | 1114260759 |
|---|---|
| Former Name | AMANDA J RUPPERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 54543) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NE 35887) |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2025-03-26 |