NPI | 1205267697 |
---|---|
Former Name | AMBER KLEIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA056578) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA003170) |
Enumeration Date | 2013-12-10 |
Last Update Date | 2019-09-12 |