| NPI | 1487240552 |
|---|---|
| Former Name | AMANDA MCCARTHY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA062100) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA062100) |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2025-07-18 |