| NPI | 1952411696 |
|---|---|
| Former Name | AMY LUCKENBAUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA09085800) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD048044L) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2021-04-29 |