| NPI | 1407944994 |
|---|---|
| Former Name | AMY BOHN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301066263) |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: MI 4301066263) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2019-05-17 |