| NPI | 1205992302 |
|---|---|
| Former Name | AMANDA RENEE FREEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2008-01782) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 221622) |
| Enumeration Date | 2006-12-31 |
| Last Update Date | 2024-06-03 |