| NPI | 1104534148 |
|---|---|
| Former Name | AMANDA LEIGH MCDOWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MO 2023003249) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2023-02-02 |