| NPI | 1699352484 |
|---|---|
| Former Name | AMANDA MARTHA WOROBEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110008787) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL 9113988) |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2022-09-28 |