NPI | 1629440789 |
---|---|
Former Name | AMBER LEIGH CHRISTIAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2015-10-28 |
Last Update Date | 2023-06-21 |