| NPI | 1497001812 |
|---|---|
| Former Name | AMANDA MARIE LYNN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 58104) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 58104) |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2020-10-29 |