| NPI | 1225304801 |
|---|---|
| Former Name | AMY HENNIES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AR PA-474) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AR PT1212) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2026-10-01 |