| NPI | 1356605562 |
|---|---|
| Former Name | AMANDA JOYCE ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: OH 35127572) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301101516) |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2017-06-09 |