| NPI | 1194036590 |
|---|---|
| Former Name | AMANDA L OERTLI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SD 9267) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NE 6337) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2014-08-20 |