NPI | 1295024693 |
---|---|
Former Name | AMANDA MICHELLE HILER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: CA A125334) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2011-04-06 |
Last Update Date | 2016-08-01 |