| NPI | 1609070929 |
|---|---|
| Former Name | AMY SUZANNE GARDNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: WA OP60233208) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2024-04-01 |