| NPI | 1174901953 |
|---|---|
| Other Name | AMANDA ROSE UNALIVIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110005079) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NM PA2015-0018) |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2024-07-23 |