| NPI | 1942628037 |
|---|---|
| Former Name | AMANDA TERESA DIJANIC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 30385201) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 30385201) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 30385201) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: NY 30385201) | |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2024-05-03 |