NPI | 1255782348 |
---|---|
Other Name | AMANDA PACHECO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL OS18694) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OS021377) |
207P00000X Emergency Medicine (Licence: PA OT020500) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-06-29 |
Last Update Date | 2022-08-02 |