| NPI | 1447435615 |
|---|---|
| Former Name | AMY MARIE STANTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: SC 1285) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC 1285) |
| 363AM0700X Physician Assistant, Medical (Licence: SC 1285) | |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2016-07-05 |