NPI | 1255652798 |
---|---|
Former Name | AMY MICHELLE REED |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2012004797) |
Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MO 2012004797) |
Enumeration Date | 2010-06-18 |
Last Update Date | 2022-01-27 |