| NPI | 1598028011 |
|---|---|
| Former Name | AMANDA VICTORIA VALLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 50516) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R73220) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2015-06-30 |