| NPI | 1790006286 |
|---|---|
| Former Name | AMANDA DUTTLINGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 85491-20) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: HI MD-20631) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: HI MD-20631) | |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2025-04-08 |