NPI | 1326464769 |
---|---|
Former Name | AMANDA K. BUELOW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA08823) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2014-03-10 |
Last Update Date | 2023-01-03 |