| NPI | 1881830776 |
|---|---|
| Former Name | AMBER LYNN MCINTOSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A101464) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036134569) |
| Enumeration Date | 2008-12-23 |
| Last Update Date | 2021-11-09 |