NPI | 1235621996 |
---|---|
Former Name | AMANDA KATE HESS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA OS022324) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OT018411) |
Enumeration Date | 2018-05-30 |
Last Update Date | 2024-10-28 |