NPI | 1336180280 |
---|---|
Former Name | AMANDA CHRISTINE HELTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TN 1286) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 1286) |
363AM0700X Physician Assistant, Medical (Licence: TN 1286) | |
Enumeration Date | 2006-06-10 |
Last Update Date | 2022-03-18 |