NPI | 1568995884 |
---|---|
Former Name | AMANDA ROSE FIELDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 64231) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 28958) |
Enumeration Date | 2017-04-04 |
Last Update Date | 2024-02-21 |