| NPI | 1225347602 |
|---|---|
| Former Name | AMY SHOOPMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0003709) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 4720) |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2015-05-14 |