| NPI | 1851558969 |
|---|---|
| Former Name | AMANDA ELIZABETH COBURN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: NY 020696) |
| Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: NY 20696) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2023-06-29 |