| NPI | 1447409305 |
|---|---|
| Former Name | AMY GALIPEAU; IVANICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 5368) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085-003299) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2024-11-19 |