| NPI | 1659882603 |
|---|---|
| Former Name | AMANDA KATHERINE KEEGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA059482) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA059482) |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2022-11-17 |