| NPI | 1700205291 |
|---|---|
| Former Name | AMANDA ELIZABETH GARRETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA09007) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: TX PA09007) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2024-09-11 |