| NPI | 1457330060 |
|---|---|
| Former Name | AMANDA SUE MCGRAIL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60463920) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: HI 13083) |
| 207Q00000X Family Medicine (Licence: IN 01060013A) | |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2024-08-15 |