| NPI | 1306464474 |
|---|---|
| Former Name | AMANDA DISLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.8446) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2025-05-06 |