| NPI | 1295088821 |
|---|---|
| Former Name | AMANDA L COCHRAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 3709-23) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085.004518) |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2023-12-18 |