NPI | 1649790221 |
---|---|
Former Name | AMANDA CHRISTINE FRANCIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: OR PA181674) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR PA181674) |
Enumeration Date | 2017-06-23 |
Last Update Date | 2025-04-24 |