| NPI | 1891172839 |
|---|---|
| Former Name | AMANDA ELISE MOHAMMED |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX R8060) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2024-11-13 |