| NPI | 1194903138 |
|---|---|
| Former Name | AMY MARIE COLLIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0001585) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: MD D74625) |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2017-04-12 |