| NPI | 1346620069 |
|---|---|
| Former Name | AMANDA J COPPINGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9116134) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA058558) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2023-03-09 |