| 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 |