NPI | 1780851220 |
---|---|
Former Name | AMANDA JEAN STOREY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 15796) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA 017845) |
207Q00000X Family Medicine (Licence: VT 042-0012824) | |
207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: VT 042.0012824) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2008-05-14 |
Last Update Date | 2025-07-21 |