| NPI | 1679518401 |
|---|---|
| Former Name | AMANDA D. LASSETER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 2283) |
| Additional Taxonomies | 363AS0400X Physician Assistant Surgical (Licence: TN 2283) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2017-08-03 |