| NPI | 1538675756 |
|---|---|
| Former Name | AMANDA MARIE MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: SC 2851) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: SC PA2851) |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2021-05-05 |