| 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 |