| NPI | 1891082582 |
|---|---|
| Former Name | AMANDA JEAN SHREDERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME118926) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2019-12-09 |