| NPI | 1609360668 |
|---|---|
| Former Name | AMANDA SCHILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NY 022119) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2019-08-05 |