| NPI | 1326593799 |
|---|---|
| Former Name | AMANDA A SKILES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA058451) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA058451) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2021-12-02 |