| NPI | 1184874919 |
|---|---|
| Former Name | AMANDA DAWN HORNBERGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CO 2665) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 2665) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2020-02-10 |