| NPI | 1891991295 |
|---|---|
| Former Name | AMANDA MARIE SUAREZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: TX P1070) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX P1070) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2012-11-27 |