| NPI | 1255745022 |
|---|---|
| Former Name | AMANDA KORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: WA OP60935300) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2019-07-17 |