| NPI | 1467940825 |
|---|---|
| Former Name | AMANDA HANHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A174836) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA R-11667) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2022-01-18 |