| NPI | 1710106059 |
|---|---|
| Former Name | AMANDA LEA PRICE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KS 0534830) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AR E-6053) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2019-11-22 |