| NPI | 1710265715 |
|---|---|
| Former Name | AMANDA M TAMM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS016918) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WV 2650) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2020-08-26 |