| NPI | 1528628674 |
|---|---|
| Former Name | AMANDA P MCGINNIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4351045541) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01088018A) |
| 207Q00000X Family Medicine (Licence: MI 4301505105) | |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2023-12-19 |