| NPI | 1417157983 |
|---|---|
| Former Name | AMANDA CHMIELEWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601005133) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2019-11-20 |