NPI | 1184974313 |
---|---|
Former Name | AMANDA JEANNE HOERLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: GA 85238) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: GA 051868615) |
Enumeration Date | 2012-09-14 |
Last Update Date | 2022-08-08 |