| NPI | 1568846731 |
|---|---|
| Former Name | AMANDA BROTEMARKLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: UT 12205654-1201) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CO ACU.0002053) |
| 171100000X Acupuncturist (Licence: MO 2015038421) | |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2023-01-04 |