NPI | 1548601875 |
---|---|
Former Name | AMANDA LEIGH FIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101024409) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207R00000X Internal Medicine (Licence: IN 02004620A) | |
Enumeration Date | 2013-07-15 |
Last Update Date | 2023-09-11 |