NPI | 1386843498 |
---|---|
Former Name | AMY J SPETZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OR PA178288) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 001000970) |
363A00000X Physician Assistant (Licence: NC 0010-00970) | |
Enumeration Date | 2007-07-18 |
Last Update Date | 2020-04-22 |