NPI | 1235507948 |
---|---|
Former Name | AMANDA JANE SCHWARTEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA13172) |
Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: TX PA13172) |
363A00000X Physician Assistant (Licence: IN 10001914A) | |
Enumeration Date | 2015-09-11 |
Last Update Date | 2023-06-28 |