NPI | 1588028567 |
---|---|
Former Name | AMY ELIZABETH O'NEIL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60926794) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID M-15297) |
207V00000X Obstetrics & Gynecology (Licence: WA MD60926794) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-04-06 |
Last Update Date | 2020-09-17 |