| NPI | 1225415011 |
|---|---|
| Former Name | AMANDA FRISOSKY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 75751) |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: WI 75751) |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2022-02-21 |