| NPI | 1619049459 |
|---|---|
| Former Name | AMANDA S NORTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: OH 35.090294) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2021-03-30 |