NPI | 1962039578 |
---|---|
Former Name | AMANDA KUHLMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34.015888) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 102207842) |
Enumeration Date | 2020-03-24 |
Last Update Date | 2024-09-20 |