| NPI | 1295051829 |
|---|---|
| Former Name | AMANDA MARAE LENDERINK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD60385020) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0056585) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 29139) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WY 10505A) | |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2021-04-27 |