| NPI | 1144292582 |
|---|---|
| Former Name | AMY SEIDENSTICKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: OR PA216394) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WA PA 60026246) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2024-03-20 |