| NPI | 1417258906 |
|---|---|
| Former Name | AMANDA LYNN JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 85003878) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA53923) |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2020-09-18 |