| NPI | 1265698559 |
|---|---|
| Other Name | AMANDA W WATSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 5328) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: VA 0110002862) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2021-05-07 |