| NPI | 1700913472 |
|---|---|
| Former Name | AMANDA R CLAUSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9112944) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: KY PA1020) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2022-10-31 |