| NPI | 1346692290 |
|---|---|
| Former Name | AMY ELIZABETH CALAHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 6527) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: AZ 1040) |
| Enumeration Date | 2016-07-04 |
| Last Update Date | 2023-06-22 |