| NPI | 1659829364 |
|---|---|
| Former Name | AMBER BISHOP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 3885 - 23) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2021-01-15 |