| NPI | 1003993916 |
|---|---|
| Former Name | AMANDA E SHELLEY-AYALA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 3264) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 52291) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2015-11-04 |