| NPI | 1548257827 |
|---|---|
| Former Name | AMELIA G TUNANIDAS NEUENDORF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS8964) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 34-00-3535N) |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2007-07-08 |