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 |