| NPI | 1275941700 |
|---|---|
| Former Name | AMANDA R KASTENMEIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WI 3373-23) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 3373) |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2024-08-12 |