| NPI | 1467654517 |
|---|---|
| Former Name | AUTUMN HAMADY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: PA RT004068) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2015-08-28 |