| NPI | 1497905368 |
|---|---|
| Former Name | AMIE L LARSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VT 055.0031813) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: ME PA001141) |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2025-08-11 |