| NPI | 1568714061 |
|---|---|
| Former Name | AMANDA ANN SCHAPPELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 007132) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085004476) |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2022-07-21 |