| NPI | 1902338262 |
|---|---|
| Former Name | AMANDA WATTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 84970) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 40722) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2026-02-26 |