NPI | 1255829032 |
---|---|
Former Name | AMANDA LEIGH COPENHAVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD473625) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD473625) |
Enumeration Date | 2018-04-26 |
Last Update Date | 2024-07-29 |