NPI | 1386999647 |
---|---|
Professional Name | AMANDA NEWSOME PRINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9106640) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9106640) |
Enumeration Date | 2012-07-23 |
Last Update Date | 2024-11-20 |