| NPI | 1275266496 |
|---|---|
| Former Name | AMELIA ROSE EVANS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA PA61344002) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2022-07-05 |
| Last Update Date | 2022-10-27 |