| NPI | 1528310703 |
|---|---|
| Former Name | AMANDA B JENKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0005083) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD c0005083) |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2023-03-02 |