| NPI | 1508487661 |
|---|---|
| Former Name | AMY MICHELLE GROSWALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01097470A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2025-10-26 |