NPI | 1326434465 |
---|---|
Former Name | AMANDA ANDERSON-GREEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: TN 57026) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TN MD0000057026) |
Enumeration Date | 2015-04-15 |
Last Update Date | 2022-08-29 |