NPI | 1508909854 |
---|---|
Former Name | AMY E. RITENOUR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: OK 89577) |
Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
Enumeration Date | 2007-02-15 |
Last Update Date | 2014-08-16 |