| NPI | 1003551920 |
|---|---|
| Former Name | ANNEMARIE ROSE AMLUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.007567RX) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 4960) |
| Enumeration Date | 2022-05-04 |
| Last Update Date | 2022-06-21 |