NPI | 1730442245 |
---|---|
Other Name | AMANDA VINCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.132472) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 262489) |
Enumeration Date | 2012-06-19 |
Last Update Date | 2024-12-31 |