| 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 |