| NPI | 1477108991 |
|---|---|
| Former Name | AMANDA M SOSNOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.007188RX) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085007343) |
| 363AS0400X Physician Assistant, Surgical (Licence: OH 50.007188RX) | |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2022-01-11 |