| NPI | 1508425471 |
|---|---|
| Former Name | AMANDA JEANNE GALAMBOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: IN 75000075A) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: OH 67.000345) |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2023-03-17 |