| NPI | 1407154354 |
|---|---|
| Former Name | AMANDA S. WOLF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 3281-23) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA4138) |
| 363AM0700X Physician Assistant, Medical (Licence: WI 3281-23) | |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2023-04-10 |