NPI | 1255516142 |
---|---|
Former Name | AMANDA B. REED-MALDONADO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: TX T2735) |
Additional Taxonomies | 208800000X Urology (Licence: HI MD-20325) |
208800000X Urology (Licence: WA MD60746380) | |
Enumeration Date | 2008-01-09 |
Last Update Date | 2022-12-06 |