| NPI | 1396778544 |
|---|---|
| Former Name | AMY MARLINDA FAJARDO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD420942) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01057161A) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2014-10-28 |