| NPI | 1609940964 |
|---|---|
| Former Name | AMY L GROTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: HI AMD-603) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9105616) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2018-01-17 |