| NPI | 1740842152 |
|---|---|
| Former Name | AMBER LYNNE DURNIL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0007321) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601009483) |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2023-05-02 |