| NPI | 1275743122 |
|---|---|
| Former Name | AMANDA RAE STREAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NV 18567) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 18567) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NV 18567) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2023-10-30 |