| NPI | 1487142014 |
|---|---|
| Former Name | AMANDA CARROLL MIHALIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD61332378) |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2023-05-25 |