NPI | 1548675770 |
---|---|
Former Name | AMY LYNN BEDEINT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: ND 18954) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT016071) |
207Q00000X Family Medicine (Licence: MN 72458) | |
Enumeration Date | 2014-06-26 |
Last Update Date | 2024-03-20 |