| NPI | 1578641742 |
|---|---|
| Former Name | AMY LOUISE OWEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 004838) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: GA 004838) |
| 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: GA 004838) | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2019-11-06 |