NPI | 1801346960 |
---|---|
Former Name | AMANDA PRICE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: VA 4630) |
Enumeration Date | 2016-10-12 |
Last Update Date | 2016-10-12 |