| NPI | 1548222151 |
|---|---|
| Former Name | AMBER L RECK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 2008-00854) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: WI 48207) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WI 48207) | |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2008-06-19 |