NPI | 1386871572 |
---|---|
Other Name | AMANDA L KULCZYK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 013291) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2009-06-16 |
Last Update Date | 2021-12-14 |