NPI | 1427205814 |
---|---|
Former Name | AMANDA JEAN HOHMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01074899A) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A111892) |
Enumeration Date | 2008-08-27 |
Last Update Date | 2024-08-29 |