| NPI | 1285941872 |
|---|---|
| Former Name | AMANDA MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ND PAC0437) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: ND PAC0437) |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2021-07-28 |