| NPI | 1124316195 |
|---|---|
| Former Name | AMANDA L RAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: KY 243983) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IN 07001180A) |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2021-07-15 |