NPI | 1336109602 |
---|---|
Former Name | AIMEE MICHELLE ANDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-02587) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-02587) |
Enumeration Date | 2006-03-23 |
Last Update Date | 2024-06-12 |