| NPI | 1235305566 |
|---|---|
| Former Name | AMY SUZANNE WALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AL 30993) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 226228) |
| 207L00000X Anesthesiology (Licence: CA A123437) | |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2025-11-15 |