| NPI | 1245437979 |
|---|---|
| Former Name | AMANDA KAYE COMBS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WV 23193) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD FC1277169) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2022-04-07 |