| NPI | 1851701593 |
|---|---|
| Former Name | AMANDA DIANE WINKLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2017-00212) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2014-05-03 |
| Last Update Date | 2025-06-17 |