| NPI | 1285077842 |
|---|---|
| Former Name | AMANDA CLAIRE GARNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA 301403) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA PGY.202137) |
| Enumeration Date | 2013-04-14 |
| Last Update Date | 2018-08-29 |