| NPI | 1568771533 |
|---|---|
| Former Name | AMANDA ROBERTSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 006561) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: SC TL20) |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2016-02-26 |