| NPI | 1215599196 |
|---|---|
| Former Name | AMY ELIZABETH CLEMENTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.006241RX) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2019-11-04 |