| NPI | 1992815815 |
|---|---|
| Former Name | AMBUR L STIDD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD61337215) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX N4963) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2022-12-14 |