| NPI | 1225354202 |
|---|---|
| Former Name | AMANDA BETH BITTNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA OA002445) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA054132) |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2023-08-01 |