| NPI | 1124480850 |
|---|---|
| Former Name | AMANDA PATTERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC MD210001689) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX S2782) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2023-02-21 |