| NPI | 1386794378 |
|---|---|
| Former Name | AMY L FARMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WV 00630) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: OH 50001186) |
| 363A00000X Physician Assistant (Licence: OH 50001186) | |
| 363AS0400X Physician Assistant, Surgical (Licence: WV 00630) | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2007-07-08 |