| NPI | 1689828444 |
|---|---|
| Former Name | AMANDA KAYE COLLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-01335) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 148128) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2018-01-25 |