NPI | 1417283722 |
---|---|
Former Name | AMY LYNNE SONNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: UT 7752075-1206) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PAL 2845) |
Enumeration Date | 2009-10-20 |
Last Update Date | 2019-07-23 |