| NPI | 1326357070 |
|---|---|
| Former Name | AMBER ANN JANSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID PA-948) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR PA152970) |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2018-02-15 |