| NPI | 1760649800 |
|---|---|
| Former Name | AMANDA SCHAEFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2015025548) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 53360) |
| 208M00000X Hospitalist (Licence: TN 53360) | |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2024-11-11 |