NPI | 1386715399 |
---|---|
Other Name | AMY A TIPTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 103939) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC 2373) |
Enumeration Date | 2006-11-13 |
Last Update Date | 2015-12-03 |