NPI | 1710407531 |
---|---|
Former Name | AMANDA REIS HART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA A177532) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2019009467) |
208M00000X Hospitalist (Licence: MO 2019009467) | |
Enumeration Date | 2017-06-22 |
Last Update Date | 2024-04-17 |