| NPI | 1760758064 |
|---|---|
| Former Name | AMANDA FRANCES EMERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NM MD2017-0803) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 66825) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2023-10-26 |