| NPI | 1215155197 |
|---|---|
| Former Name | AMANDA BOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NC 2022-02207) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX N6181) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: WA 60612887) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2023-03-24 |