| NPI | 1396368833 |
|---|---|
| Former Name | AMBER RENEE MAHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: CA 844896) |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2020-05-19 |