| NPI | 1811296049 |
|---|---|
| Former Name | AMANDA ELIZABETH KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2023-02006) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101252638) |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2023-09-01 |