NPI | 1194927053 |
---|---|
Other Name | AMY WAGNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: DE C10007447) |
Additional Taxonomies | 208D00000X General Practice (Licence: DE C10007447) |
Enumeration Date | 2007-06-04 |
Last Update Date | 2011-10-22 |