| NPI | 1124220942 |
|---|---|
| Former Name | AMY ELIZABETH MANSFIELD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.095333) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD 22174) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2010-06-09 |