NPI | 1699918300 |
---|---|
Former Name | AMANDA MARIE SADECKY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD171429) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD443796) |
Enumeration Date | 2009-04-10 |
Last Update Date | 2017-08-07 |