NPI | 1669247896 |
---|---|
Former Name | AMANDA L SARTELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110009670) |
Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: VA 0110009670) |
Enumeration Date | 2023-11-17 |
Last Update Date | 2023-12-09 |