NPI | 1457603516 |
---|---|
Former Name | AMY LOUISE WEST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA PA.200587) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: LA PA.#794.INTERIM) |
Enumeration Date | 2012-10-12 |
Last Update Date | 2020-03-16 |