| NPI | 1891114799 |
|---|---|
| Former Name | AMANDA CATHERINE MCNALLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: UT 13103616-1204) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 20A14351) |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2023-05-02 |