| NPI | 1154404135 |
|---|---|
| Former Name | AMY E ALTLAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA052717) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA052717) |
| 363A00000X Physician Assistant (Licence: MD C003800) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2019-12-03 |