NPI | 1194165258 |
---|---|
Former Name | AMANDA RENE PROPST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: OK 5471) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 5471) |
Enumeration Date | 2013-07-03 |
Last Update Date | 2023-05-05 |