NPI | 1396867974 |
---|---|
Former Name | AMANDA MARIE BRESSLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35.140397) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 57.015714) |
207V00000X Obstetrics & Gynecology (Licence: KY 45435) | |
Enumeration Date | 2007-04-04 |
Last Update Date | 2020-09-21 |