| NPI | 1427444249 |
|---|---|
| Former Name | AMANDA MARIE SIMONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 65475) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 292468) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2020-11-13 |