| NPI | 1528441854 |
|---|---|
| Former Name | AMANDA M AJINE-BASIL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601009765) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA057154) |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2021-01-19 |