| NPI | 1730757246 |
|---|---|
| Former Name | AMANDA LEBRIGHT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DE C5-0011560) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363A00000X Physician Assistant (Licence: PA MA062814) | |
| Enumeration Date | 2021-06-12 |
| Last Update Date | 2023-01-27 |