| NPI | 1063511087 |
|---|---|
| Former Name | AMANDA GAYLE CHRISTENSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OR PA01154) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2023-06-12 |