| NPI | 1639638406 |
|---|---|
| Former Name | AMY ELISABETH CALLAHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 319805) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: RI LP04630) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2022-10-21 |