| NPI | 1164719597 |
|---|---|
| Former Name | AMANDA JOY LEDBETTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: FL ME133697) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS T-2454) |
| 208000000X Pediatrics (Licence: MS 23308) | |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2018-03-17 |