NPI | 1114222981 |
---|---|
Former Name | AMY E. KYGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA PA.200549) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MO 2011001804) |
Enumeration Date | 2011-01-25 |
Last Update Date | 2015-02-04 |