NPI | 1437281391 |
---|---|
Former Name | AMANDA DEMET NEWTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036121394) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301082432) |
208000000X Pediatrics (Licence: MI 4301082432) | |
208000000X Pediatrics (Licence: IL 036121394) | |
Enumeration Date | 2007-03-09 |
Last Update Date | 2013-04-25 |