| NPI | 1356726277 |
|---|---|
| Former Name | AMANDA C LEITZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.005205RX) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9108826) |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2018-03-20 |