| NPI | 1124374319 |
|---|---|
| Former Name | ALI KING AMUNDSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.004711RX) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2018-03-17 |