| NPI | 1528008083 |
|---|---|
| Former Name | AMY BETH HEWITT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA ma0032001) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA0032001) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2021-01-16 |