| NPI | 1215342852 |
|---|---|
| Former Name | AMANDA MAE PALICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 54116) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 37073) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2019-09-19 |