| NPI | 1881811602 |
|---|---|
| Former Name | AMANDA G RIDDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2011016772) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL OS10917) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2018-02-27 |